Sharma P K, Janniger C K, Schwartz R A, Rauscher G E, Lambert W C
Plastic Surgery, Dermatology, and Pathology, New Jersey Medical School, Newark 07103-2714.
J Dermatol Surg Oncol. 1991 Apr;17(4):332-4. doi: 10.1111/j.1524-4725.1991.tb01706.x.
Large lipomas may best be treated with liposuction. Once a lipoma enlarges to 4 cm or more, liposuction has several advantages over conventional surgery. A well-demarcated lipoma 15 cm in diameter and deep to muscle was treated by liposuction. Biopsy showed an atypical lipoma. Because the entire tumor was removed by liposuction, we feel that the prognosis is excellent. The cosmesis and morbidity results were far superior to those anticipated with conventional excisional surgery. Small superficial lipomas may be treated by suction lipectomy and the surrounding area can be contoured symmetrically at the same time, whereas large ones can be liposuctioned completely without extensive surgical extirpation and morbidity. Because such big lesions may represent atypical lipomas or liposarcomas, care must be taken to remove the entire tumor.
大型脂肪瘤最好通过抽脂术治疗。一旦脂肪瘤增大到4厘米或更大，抽脂术相对于传统手术具有几个优势。通过抽脂术治疗了一个直径15厘米、位于肌肉深层且边界清晰的脂肪瘤。活检显示为非典型脂肪瘤。由于整个肿瘤通过抽脂术被切除，我们认为预后良好。美容效果和发病率结果远优于传统切除手术预期的效果。小型浅表脂肪瘤可通过吸脂术治疗，同时可对称塑形周围区域，而大型脂肪瘤可完全通过抽脂术去除，无需进行广泛的手术切除且发病率较低。由于如此大的病变可能代表非典型脂肪瘤或脂肪肉瘤，必须小心切除整个肿瘤。
